Claims Examiner - General Liability

About the role

CITON Claims Solutions is proud to call two vibrant cities home. Our headquarters on Florida’s stunning Space Coast in Melbourne offers an exceptional quality of life, with affordable housing, excellent transportation, and close proximity to major cities like Orlando, Tampa, and Miami. Our Irving, Texas location places us in a dynamic center of culture, business, and entertainment, keeping us deeply connected to innovation and growth.

What you'll do

• Review Claims: Assess and analyze submitted claims documentation to determine validity and coverage.
• Gather Essential Information: Communicate with policyholders, witnesses, and other involved parties to collect relevant details for claims evaluation.
• Create Detailed Reports: Document findings thoroughly and maintain comprehensive notes to support claims assessments.
• Analyze Coverage: Review insurance policies to determine applicable coverage and assess liability.
• Prepare Reports: Submit thorough reports with findings and well-supported recommendations for claim settlements.
• Negotiate Settlements: Work with policyholders and third parties to negotiate settlements that ensure fair and just outcomes.
• Handle Disputes: Handle disputes professionally and efficiently, ensuring favorable resolutions.
• Maintain Clear Communication: Foster transparent and professional communication with policyholders and all stakeholders throughout the claims process.
• Collaborate Across Teams: Partner with internal teams, including underwriters and legal advisors, to resolve complex claims.
• Ensure Compliance: In all claims processes, comply with state and federal regulations and company policies.
• Support Catastrophe Response: Provide critical support for claims management efforts during disaster events as needed.

What we're looking for

• Experience: Minimum of 8 to 10 years in a claim adjusting role, with direct experience handling liability claims with a focus on Homeowner’s Liability. This includes investigation, negotiation, and settlements on claims with exposure in excess of $100k. College degree and industry certifications are strongly preferred.
• Technical Skills: Proficiency with CMS, Microsoft Suite of products, strong analytical, investigative, and problem-solving skills; solid understanding of legal concepts surrounding liability claims.
• Licensing and Certifications: Valid adjuster’s license in home state and Florida required.
• Insurance Knowledge: Strong understanding of insurance policies, coverage evaluation, claim investigation, and dispute resolution throughout the life of a file. Should be able to demonstrate advanced understanding of all issues related to liability claims including state regulations, case law, and statutes.
• Negotiation Skills: Excellent negotiation and communication skills, with proven ability to manage complex conversations and drive fair claim resolution with insureds, vendors, attorneys, and public adjusters.

What's in it for you

• Dynamic Environment: Thrive in a fast-paced, collaborative, and results-driven office where your contributions make a real impact.
• Career Growth: Opportunities for professional development and advancement within a supportive company culture.